Introduction and Alignment
This activity will allow you to complete a family systems assessment.
Upon completion of this assignment, you should be able to:
Demonstrate the knowledge to conduct a comprehensive family assessment and genogram
Instructions
View the movie “Family Stone”. It is available on Netflix, Amazon Prime, and Redbox for you to rent.
Review the Bowen Theory Family Therapy Paper rubric and complete a 6-8 page paper (excluding title page, references, and genogram pages) covering the topics on the rubric.
APA will be assessed and references may or may not be needed. You do not need to reference the movie since all of you will be watching the same movie.
When you have completed your assignment, save a copy for yourself and submit a copy to your instructor using the Dropbox by the end of the workshop
Assessment Criteria
Assessed Item
Points
Address concepts as it relates to the family
Triangles
Differentiation of self
Nuclear family emotional system
Family projection process
Multigenerational transmission process
Emotional cutoff
Sibling position
Societal emotional process
64
Treatment plan using Bowenian model
examples of techniques and treatment strategies as they apply to the family
30
Discusses cultural aspects/implications for this family from Bowenian perspective
30
Completed Genogram of family mapping the following:
family member
ages births, deaths
relationships
marriages
power distribution
family boundaries
member roles
decision making processes
relationship connections
intergenerational patterns
subgroups
occupational and educational status
marital functioning
parent-child relationships
socio-economic status
religious background and its significance to family life
health problems
mental health problems
attitudes about gender and sexuality
communication styles
Decision making, Problem Solving, Critical Thinking, and Clinical Reasoning
: Pick one of these subjects and discuss its role in leadership.","Decision making, Problem Solving, Critical Thinking, and Clinical Reasoning: Pick one of these subjects and discuss its role in leadership in Nursing.
Minimum 700 words.
Choose Decision Making.
Use at least 3 references.
APA Style.
If you can, use this book:
L., & Huston, C. J. (2021). Leadership roles and management functions in nursing (10th ed.). Philadelphia, PA:Wolters Kluwer.
ISBN:978-1-975139-21-6
Advocacy Through Legislation
Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.
For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the ""Advocacy Through Legislation"" template to complete this assignment.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
Pediatric Discussion
Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.
MB Discussion:
Discuss the history that you would take on this child in preparation for the well-child visit. Include questions regarding her growth and development that are appropriate for her age.
A well-child visit entails monitoring the growth and development of the child. These visits are intended to assess and discuss every significant domain development of the child (Moreno, 2018). On the first well-child visit, the history that the pediatrician would take on the child in preparation for the assessment would include comprehensive birth history. Additional history that the pediatrician would take on the child in preparation for the subsequent well-child visit would include reviewing the development of the child since the last visit and reviewing notes from the previous visit. It would also be discussing the growth of the child with the parents. This may include social, emotional, cognitive, and physical development. It may further include any concern or illness exhibited by the child before the visit, child medical history as well as family history, and dietary, vaccination, and social history (Turner, 2018).
Age-appropriate growth and development questions for the two months old would include:
Is she able to lift her head and shoulder while lying on her stomach?
Does she follow a moving object to the midline or past the midline?
How well she reacts to the sound?
Does she pay attention to faces and identified people at distance?
Does she respond to smile?
Does she try to interact by making cooing and gurgling sounds?
Can she bring her hand to her mouth and sucks on her hand?
Age-appropriate growth and development questions for the six months old would include:
Does she recognize familiar faces and notice a new face?
Does she make sounds in response to sounds she hears?
Can she pass things from one hand to another?
Has she started to sit without support?
Age-appropriate growth and development questions for the nine months old would include:
Does she exhibit fear upon seeing strangers?
Does she make different sounds?
Does she put things in her mouth?
Does she crawl and pulls herself to stand?
Describe the developmental tool to be used for Asia, its reliability and validity and how Asia scored developmentally on this tool. Is she developmentally appropriate for her age?
The American Academy of Pediatrics (AAP) recommends the use of a development tool for developmental screening starting from the well-child visit at nine months interval (Moreno, 2018). The Parents' Evaluation of Developmental Status (PEDS) is one of the many validated developmental screening tools used for the child. It is an evidence-based approach for identifying and addressing growth and behavior-related concerns in children. It is a simple 10-item questionnaire, which is completed by the parent (Vitrikas et al., 2017). Once the parent has answered the questionnaire, the pediatrician work along with parents to score the questionnaire and interprets the concerns of parents. Expert use of PEDS facilitates the timely recognition of growth and behavior-related concerns in babies (Sun et al., 2017).
Validity and reliability are measures, which reflect the possible efficacy and accuracy of a specific tool. An acceptable sensitivity for a developmental screening is determined to be between 70% and 80%. The acceptable standard for the specificity of a tool is identified to be approximately 80% (Vitrikas et al., 2017). One of the most widely assessed tools that are completed by parents is identified to be PEDS. It entails eight questions requiring answers in yes or no and two open-ended questions written at the fourth to fifth-grade reading level. It takes two minutes for the parent to complete the questionnaire (Sun et al., 2017). It is identified to have a specificity of 74% and sensitivity of 75% on an average for all age groups (Vitrikas et al., 2017). It is known to have maintained psychometric properties across parental education level, socioeconomic status, and child-rearing experience. Physicians at urban pediatric clinics reported the identification of growth-related issues with high accuracy and timely during well-child visits after integrating the use of the PEDS tool into their practice. They further reported that the utilization of PEDS improved the efficiency of well-child visits and ensure the provision of appropriate follow-up care (Vitrikas et al., 2017).
Upon reviewing PEDS developmental screening form completed by the Mother, it is observed that the mother reported no growth or behavioral-related concerns. This indicates that the child has scored well developmentally on PEDS and is placed in the low-risk category. She is identified to be developmentally appropriate for her age as she can sit without support and waves bye-bye. This is considered indicative of regular gross motor and cognitive and communication progress for a nine-month-old child.
What immunizations will Asia be given at this visit; what is the patient education and follow-up?
The immunizations for the child at the nine-month visit included the third dose of inactivated poliovirus that was held at six months well-child visit and annual influenza. The immunizations to be administered at the 12-month well-child visit would include fourth doses of Haemophilus influenzae type b and pneumococcal conjugate. Additional immunization at 12 months well visit would include first doses of measles, mumps, rubella, and varicella. It is also recommended to initiate the two-dose series of Hepatitis A (HepA) at the 12-month well-child visit (Centers for Disease Control and Prevention [CDC], 2021). Every well-child visit must entail anticipatory guidance for parents. This helps them anticipate the growth and nutritional requirements of their child. Parents must also be educated regarding the safety of the child (Turner, 2018). The parent is guided to visit for follow-up at 15 months for the administration of the immunizations recommended at this interval. These would include the fourth dose of Diphtheria, tetanus, and acellular pertussis and the second dose of the two-dose series of (HepA) (CDC, 2021).
References
Aquifer.org. (n.d.). Pediatrics 02: Infant female well-child visits (2, 6, and 9 months). https://southu-nur.meduapp.com/document_set_document_relations/30217
Centers for Disease Control and Prevention. (2021, February 12). Table 1. Recommended child and adolescent immunization schedule for ages 18 years or younger, United States, 2021. https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html
Moreno, M. A. (2018). The well-child visit. Journal of the American Medical Association Pediatrics, 172(1), 104-111. https://doi.org/10.1001/jamapediatrics.2018.4041.
Sun, J., Patel, F., Jacobs, R. R., Frank, D. A., Black, M. M., & Chilton, M. (2017). Mothers’ adverse childhood experiences and their young children’s development. American Journal of Preventive Medicine, 53(6), 882-891. https://doi.org/10.1016/j.amepre.2017.07.015.
Turner, K. (2018). Well-child visits for infants and young children. American Family Physician, 98(6), 347-353. https://www.aafp.org/afp/2018/0915/afp20180915p347.pdf.
Vitrikas, K., Savard, D., & Bucaj, M. (2017). Developmental delay: When and how to screen. American Family Physician, 96(1), 36-43. https://www.aafp.org/afp/2017/0701/afp20170701p36.pdf.
Mood Disorder
1. Listen (Links to an external site.) to Eugene in this monologue or download the printed copy of the monologue. As you listen to Eugene, address the following questions on a word document.
Evaluate what evidence heard that may be indicative of depression
Assess Eugene's baseline functional status
Determine what coping strategies Eugene uses and his support system
Examine Eugene's strengths and weaknesses
Identify what else a nurse would want to know about Eugene or his wife
Describe the overall impression of Eugene’s relationships
Discussion
Step 1: Choose a health care issue that concerns you as a practicing nurse.
Step 2: Post a response to the discussion board by addressing the following:
Research and explain the issue.
Identify a political candidate who shares your interest.
How might you support that candidate?
PSYCHOPATHOLOGY
DISCUSSION Psychopathology is defined “the study of psychological and behavioral dysfunction occurring in mental illness or in social disorganization” (Psychopathology, (n.d.)). There are many factors involved in the development of mental illness that include genetic and environmental factors. Genetics appears to account for 2/3 of a person’s intelligence whereas 1/3 is linked to the environment (Sadock, 2014, p. 132).
Many psychiatric conditions appear to have a link to an imbalance of neurotransmitters in the synaptic cleft, and can even have a familial link (Sadock, 2014, p. 2). Depression is thought to be related to diminished levels of the neurotransmitters Serotonin, Dopamine and Norepinephrine in areas of the Brain such as the Anterior Cingulate Cortex, Cingulate Gyrus, Hippocampus, Thalamus, and Frontal Cortex (Jackson & Milberg, 2018, p. 72). Many areas of the brain are also found to have been reduced in size with reduced number of neurons. There are similar size deficits found in certain areas of the brain as it pertains to other diseases such as Anxiety (cingulate cortex), attention deficit hyperactivity disorder (hippocampus), and Schizophrenia (whole brain and hippocampus).
Psychologically there are theories of cognitive development occurring at certain ages as proposed by Jean Piaget (Sadock, 2014, p. 93) that seek to explain how humans must learn how to develop through the four stages (sensorimotor, preoperational thought, concrete operations, and formal operations). This theory has led to therapies such as cognitive behavioral therapy that attempt to reshape the way the patient looks at the current situation. Cognitive processes are also dependent on learning concepts such as classical and operant conditioning that can influence how people react and can also be important in helping to change their behavior. Memories appear to lead to the creation of new synapses in the brain known as neuroplasticity (Sadock, 2014, p. 110).
Sociologically, the environment that a person grows up in can also play a role in their mental health. There is an associated higher prevalence of mental illness in people that are unemployed, poorly educated, and lower income (Cheung & Mak, 2018) as well as in lesbian, gay or bisexual individuals. Certain cultures may present for uncommon symptoms to certain diseases such as the somatization seen in Chinese patients with depression called shenjing shuairupo (Cheung & Mak, 2018, p. 133). A person’s ability to effectively communicate with others is known as interpersonal relationships. “The ability to navigate social interactions in an appropriately flexible and goal-directed manner is a major component of psychological health” (Girard, et al., 2017). When a depressed person withdraws and does not assert themselves, it can lead to furthering their depression. This can be true for people with many other mental health conditions as well.
When attempting to diagnose and treat a person suffering from a mental illness, it will be important to be able to incorporate the biological, psychological, social, and interpersonal factors into the treatment plan to achieve the best possible. Outcome for the patient.
References
Cheung, F. M., & Mak, W. W. (2018). Sociocultural factors in psychopathology. APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders., Vol. 1, 127-147. doi:10.1037/0000064-006
Girard, J. M., Wright, A. G., Beeney, J. E., Lazarus, S. A., Scott, L. N., Stepp, S. D., & Pilkonis, P. A. (2017). Interpersonal Problems across Levels of the Psychopathology Hierarchy. Comprehensive Pshcyiatry, 53-69. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5643217/
Jackson, C. E., & Milberg, W. P. (2018). Examination of neurological and neuropsychological features in psychopathology. APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders., 1. doi:10.1037/0000064-004
Psychopathology. ((n.d.)). Retrieved from Merriam-Webster.com: https://www.merriam-webster.com/dictionary/psychopathology
Sadock, B. J. (2014). Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 11th Edition. (11 ed.). Retrieved from vbk://9781496311351
Week 1: History and Theories of Psychopathology The history of the diagnosis of mental disorders is fraught with examples of how cultural norms and prejudices interfere with and warp a diagnosis. The result is that normal behavior and orientations have been pathologized as an illness or disease. An example of this would be the story of Alan Turing, the famous British computer scientist of the 20th century, who was instrumental in inventing modern computers and deciphering German code in World War II. He was convicted in 1952 in England of gross indecency for being gay. Turing was forced by the courts to undergo 12 months of hormone therapy and could no longer work for the British government. At the time, homosexuality was pathologized as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders and was criminalized in most Western countries. It was not until 1973 that the American Psychiatric Association (APA) finally removed homosexuality from the DSM. Historically, the process of rendering a diagnosis has been used to pathologize those who fell outside what was considered the cultural norm of human behavior. This process often marginalized diagnosed populations and prevented individuals from receiving appropriate care. It is of utmost importance to consider cultural issues that influence how you as a clinician interpret a client’s behavior and how cultural issues influence how a client may express behavior. This week, you explore the history of psychopathology and the evolution of theoretical perspectives in the field. Learning Objective Students will: Analyze historical and currently recognized biological, psychological, and sociocultural factors that inform the expression, course, and prevalence of psychopathology Discussion: Factors That Influence the Development of Psychopathology In many realms of medicine, objective diagnoses can be made: A clavicula is broken. An infection is present. TSH levels meet the diagnostic criteria for hypothyroidism. Psychiatry, on the other hand, deals with psychological phenomena and behaviors. Can these, too, be “defined objectively and by scientific criteria (Gergen, 1985), or are they social constructions?” (Sadock et al., 2015). Thanks to myriad advances during recent decades, we know that psychopathology is caused by many interacting factors. Theoretical and clinical contributions to the field have come from the neural sciences, genetics, psychology, and social-cultural sciences. How do these factors impact the expression, classification, diagnosis, and prevalence of psychopathology, and why might it be important for a nurse practitioner to take a multidimensional, integrative approach? To Prepare: Review this week’s Learning Resources, considering the many interacting factors that contribute to the development of psychopathology. Consider how theoretical perspective on psychopathology impacts the work of the PMHNP. By Day 3 of Week 1 Explain the biological (genetic and neuroscientific); psychological (behavioral and cognitive processes, emotional, developmental); and social, cultural, and interpersonal factors that influence the development of psychopathology. Reading: Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. Chapter 1, Neural Sciences Chapter 2, Contributions of the Psychosocial Sciences Chapter 3, Contributions of the Sociocultural Sciences Chapter 4, Theories of Personality and Psychopathology Chapter 31.17c, Child Psychiatry: Other Conditions: Identity Problem Butcher, J. N., & Kendall, P. C. (2018). Introduction to childhood and adolescent psychopathology. In J. N. Butcher & P. C. Kendall (Eds.), APA handbook of psychopathology: Child and adolescent psychopathology., Vol. 2. (pp. 3–14). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000065-001 Cheung, F. M., & Mak, W. W. S. (2018). Sociocultural factors in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.), APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders., Vol. 1. (pp. 127–147). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000064-006 Jackson, C. E., & Milberg, W. P. (2018). Examination of neurological and neuropsychological features in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.), APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders., Vol. 1. (pp. 65–90). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000064-004 Masten, A. S., & Kalstabakken, A. W. (2018). Developmental perspectives on psychopathology in children and adolescents. In J. N. Butcher & P. C. Kendall (Eds.), APA handbook of psychopathology: Child and adolescent psychopathology., Vol. 2. (pp. 15–36). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000065-002
Organizations Serving Vulnerable Population
Step 1: In your initial post to this discussion forum, respond to the following prompts. Include personal and practice-related experiences or observations as examples that support your response.
Explore an organization that serves a vulnerable population.
Select a reputable local or regional organization that serves at least one vulnerable population.
Learn about the organization through information readily available (for example, a website or brochure) and/or a brief phone interview with an employee of the organization.
Find out how a member of the vulnerable population would access the services of this organization, what services are available, what health issues are addressed, how the services are financed, the hours of operation (if applicable), who is employed by the organization (for example, public health nurses, social workers, psychologists, chaplains, community health workers), and so on.
Post an informational profile that identifies the organization and describes the organization's impact on the health of this population. Include information about how a member of the vulnerable population would access the services of this organization, what services are available, what health issues are addressed, how the services are financed, the hours of operation (if applicable), who is employed by the organization (for example, public health nurses, social workers, psychologists, chaplains, community health workers), and so on.
Indexes and Registries Discussion
Explain the use of Indexes and Registries in healthcare today. Then, select any one Index or Registry of special interest to yourself, and discuss its utilization and importance in US healthcare.
post with a minimum of 250 words all posts must contain at least (2) professional references, and properly cited in the current APA format
Care of a Patient with an Esophageal Problem
A 58-year-old patient has undergone a Laparoscopic Nissen Fundoplication (LNF) for a hiatal hernia. Before discharge, you are preparing to teach the patient and family about self-management.
For what postoperative complications will you monitor, and why could they occur after this surgery?
What type of diet will the patient need to eat, and for how long will the diet be recommended?
What types of activities will you recommend for the patient? Are there any restrictions on an activity that you should teach the patient?
The patient will have a postoperative incision. What will you teach the patient about wound care?
What type of follow-up instructions will you provide?
